Midwest Innovation Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIDWEST INNOVATION LABORATORY LLC

Doing business as

HDL Labs

Practice address

11475 Olde Cabin Rd Ste 150
Saint Louis, MO 63141-7129

Phone

(314) 408-3394

Fax

(314) 942-6800

NPI assigned

Jun 9, 2020

Last updated

Feb 7, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fareed Katariwala

Title

Ceo

Phone

(314) 408-3394

Specialties & licenses 1

Addresses

Other names 1

• HDL LABS Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roomana Arain, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1528269982
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1942825633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 DUTCH MILL DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113678",
            "telephone_number": "314-408-3394",
            "fax_number": "314-778-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11475 OLDE CABIN RD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "314-408-3394",
            "fax_number": "314-942-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INNOVATION LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "KATARIWALA",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-408-3394"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HDL LABS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HDL LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.